Individual
MRS. JEANNINE N JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
34 CYPRESS DR, GLENVILLE, NY 12302-4325
(518) 588-4343
Mailing address
34 CYPRESS DR, GLENVILLE, NY 12302-4325
(518) 588-4343
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/25/2011
Last updated
06/25/2011
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